Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

COUNTRY VILLA IMPERIAL, LLC

NPI: 1699018739 · ONTARIO, CA 91764 · 314000000X

$2K

Total Medicaid Paid

81

Total Claims

13

Beneficiaries

1

Codes Billed

2019-12

First Month

2019-12

Last Month

Monthly Spending Trend

Yearly Breakdown

Year	Claims	Total Paid
2019	81	$2K

Billing Codes

Code	Description	Claims	Beneficiaries	Total Paid
97110		81	13	$2K